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Slight numbness in lower lip after implant placement. what is to be done ?

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  • 15/07/2015 at 4:25 pm #12857
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    Greetings to all ye implant gurus.

    I placed 4.5 x 10mm SS III ostem implant in 4-6 (LR first molar) & 5 x 10 SS III

    Greetings to all ye implant gurus.

    I placed 4.5 x 10mm SS III ostem implant in 4-6 (LR first molar) & 5 x 10 SS III

    osstem  implant in 3-6 (LL first molar) for this patient on 9th July 2014.

    Patient is 26 year old female.

    No relevant medical history.

    The bone in 4-6 area was deficient bucco lingually & so I took an ostem spreader & widened it. I also took on ostem osteotome & hammered it gently with a mallet & expanded it bucco lingually & placed a 4.5 x 10mm SS III implant.

    It seems unlikely that I touched the inferior alveolar news during bone expansion.

    My staff makes a routine courtesy call every night before we close the clinic to all our patients who have undergone surgery . Patient said that she was fine & the effect of L.A went away within two &half hours. She was not feeling any residual numbness.

    She took the antibiotics & NSAID’ as prescribed .

    Pt. was called on 16th evening for follow up.

    Pt. reported on 18th evening & said that her lower lip on left side was feeling slightly numb.

    Note that she is feeling numb only from the angle the lip to the midline on left side i e areas innervated by mental nerve. I prescribed  B complex capsules & asked for on OPG which is in the end  of this post.

    The OPG does not show the implant close to the inferior alveolar nerve.

    So now I want to know what could be the cause & what should be the future course of action.

    Thanks in advance for all responses.

    Dr. Veerendra Darakh

            

    For one to one consultations on dental practice growth and practice management please contact : todaysmedicalmarketing@gmail.com

    16/07/2015 at 12:07 pm #17892
    Anonymous

    Dear Dr. Dharakh,

    The commonest thing is "POST INJECTION RESIDUAL PARASTHESIA AFTER MANDIBULAR BLOCK / IF YOU USED INFILTRATION, INJECTION NEEDLE TRAUMA TO MENTAL NERVE LOOP".

    Insted of B – complex, Neurobion forte will be a bettter idea.

    Regards,

    Harshad Adhiya.

            

    16/07/2015 at 12:34 pm #17893
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    Thank you Dr. Adhiya for the inputs.

    Regards,

    Veeren

     

            

    For one to one consultations on dental practice growth and practice management please contact : todaysmedicalmarketing@gmail.com

    18/07/2015 at 12:43 pm #17894
    Anonymous

    Dear Dr. Darakh,

    In continuation, one more probability can not be ruled out — that of a crack fracture line extending / blood accumulated because of the splitting of the ridge, Mandible being a more dense bone.

    But treatment remains same, observation & Tab, beurobion Forte 1 tds for a 3 months.

    regards,

    Harshad Ashiya.

            

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